Kevin J. Carlson
Edina,MN
Summary
Visionary healthcare executive with over 25 years of progressive leadership experience in large, matrixed organizations. Proven track record of driving sustainable, profitable growth across multi-line employee benefits products. Recognized for strategic foresight, operational excellence, and a people-first leadership style that cultivates high-performing teams and industry-leading consumer experiences. Highly motivated leader who thrives in complex working environments and consistently delivers outstanding results. Strategic thinker with ability to build and develop strong relationships with internal and external partners. Passionate about investing in people and supporting professional growth while promoting the company’s mission and values. Demonstrates leadership skills that create positive work environment. Empowers others to communicate freely and work independently.
Overview
32
32
years of professional experience
Work History
Senior Accountant
Ernst & Young, LLP
03.1997
- Served public and private clients in various industries. Coordinated all phases of audit engagements, supervised multiple staff members and prepared financial statements and footnote disclosures.
- Worked on several IPO’s with client Executives and legal counsel
SVP, Government Programs and CEO Private Label – Specialty Benefits
UNITEDHEALTH GROUP
04.2019 - Current
- Company Overview: A $400+B Fortune 3 diversified health and well-being company.
- Primary relationship and growth strategy leader for Medicare and Medicaid businesses for Dental, Vision, and Hearing.
- Responsible for $3B+ Government Programs and Private Label portfolio
- Developing trusting relationships with state and federal leaders
- Identify, coordinate and deliver business solutions to our Medicaid and Medicare business partners, and our members.
Regional Vice President – Provider Network
UNITEDHEALTH GROUP
02.2017 - 04.2019
- Lead network strategy and contracting for new network comprising over $2B spend across 250 hospitals and approx. 32,000 physicians serving 430,000 members.
- Recruited, selected, trained and retained highly qualified professionals
- Successfully built a large network of providers to meet an aggressive timeline to transition from a leased network
- Built trusting and lasting relationships with all key health systems
Sr. Vice President – Provider Network
UnitedHealthcare Military & Veterans
02.2014 - 02.2017
- Lead network strategy and operations for TRICARE West region network comprising over $3B spend across 1,300 hospitals and 220,000 physicians serving 2.9M beneficiaries in 21 states.
- Successfully maintained a large network of providers to meet the challenging adequacy needs of TRICARE beneficiaries
- Responsible for saving the Department of Defense over $100M in annual reduced health care expenses by exceeding our discount guarantee
- Improved provider demographic load accuracy from below 70% to above 92% in 2 years since taking on management responsibilities
Chief of Staff
UnitedHealthcare Military & Veterans
05.2012 - 02.2014
- Supported the Chief Executive Officer responsible for building the business to support the $19B TRICARE West region contract.
- Developed Process’, Policies and Procedures to support one of the largest customers UHG won organically
- Successfully hired and trained 2,000 employees to be ready at the start of health care delivery
- Built trusting and lasting relationships within the Department of Defense and external advocacy groups
Vice President – Network Management – Southeast Region
UNITEDHEALTH GROUP
06.2010 - 05.2012
- Led network strategy for regional network comprising over $30B spend across 1,200 hospitals and 130,000 physicians serving 5.3M commercial and 2.3M government program members.
- Successfully negotiated a new 2.5 year contract with Duke Health System in Raleigh/Durham, NC that achieved over $1M savings compared to target in 2011
- Participated in Hospital Network Management Certification Program for top talent in Network Management
- Championed process making sure all internal strategic partners were aware of key negotiations with hospitals and physicians
- Executive sponsor of UnitedHealth Networks Southeast Region Leadership Development Pilot
Vice President – Network Development & Expansion
UNITEDHEALTH GROUP
09.2006 - 06.2010
- Responsible for managing the development and expansion of UnitedHealth Groups network of 5,000 hospitals and over 590,000 physicians.
- Spearheaded network expansion resulting in greater than 25% growth of network providers for our government program members
- Successfully designed and implemented a business plan process for our key partners
- Responsible for the design and implementation of the bi-weekly Network Advisory’s for our National Account customers updating them on potential hospital terminations
- Selected by Executive Leadership to participate in the Executive Development Program (EDP)
Vice President – Revenue and Membership
UNITEDHEALTH GROUP
05.2005 - 09.2006
- Responsible for managing the financial control and business analysis of UnitedHealthcare Employer & Individual’s $34.5B operating revenue budgets and nearly 14.5M commercial members.
- Led and directed a team of 45+ people responsible for reporting and analyzing revenue and membership results
- Implemented business performance metrics, using metrics and key performance indicators aligned to strategy and dashboards to manage the business
Director – Revenue and Membership
UNITEDHEALTH GROUP
05.2004 - 05.2005
- Responsible for managing the financial control and business analysis of UnitedHealthcare Employer & Individual’s $27B operating revenue budgets and nearly 11M commercial members.
- Designed a Process, Policies and Procedures manual to be used by acquired companies during integration
- Redesigned the monthly close process to focus more on analyzing the results versus just reporting them
Controller – Small Business Group
UNITEDHEALTH GROUP
07.2002 - 05.2004
- Responsible for managing the financial control and business analysis of UnitedHealthcare’s $5B operating revenue and expense budgets and 2M commercial members for the Small Business Group.
- Successfully developed and implemented a budget and forecast process to involve all functional groups
- Proactively monitored and analyzed membership trends and communicated to Senior Management the impact of those issues on profitability
- Responsible for providing summary financial and operating reporting to Senior Management
Controller
WAM!NET
03.1997 - 07.2002
- Company Overview: (Acquired by Savvis Communications in 2003)
- Led and directed all financial activities of the Company, including SEC reporting.
- Successfully raised over $500M in debt financing including convertible preferred stock sales
- Involved with $40M acquisition of a company located in the UK as well as a Joint Venture with Sumitomo Corp. in Japan
- Redesigned processes, organization and performance measures to improve efficiency
Staff Accountant
Ernst & Young, LLP
09.1993 - 03.1997
- Performed financial audits on behalf of public and private clients.
- Responsible for reviewing all general ledger account reconciliations and preparing work papers
Education
Bachelor of Science - Accounting
University of St. Thomas
St. Paul, MNCertified Public Accountant - undefined
01.1993
Skills
- Authentic - Courageous - Determined - Visionary - Restless - Servant Leader
- Strategic Growth & M&A
- Cross-Segment Collaboration
- Regulatory Strategy & Risk Management
- Talent Development & Succession Planning
- Consumer-Centric Innovation
- Government & Commercial Markets
- Matrixed Leadership & Shared Services
Awards
Executive Development Program – 2010, General Manager Program – 2014, Our United Culture – Culture Facilitator – 2015
Timeline
SVP, Government Programs and CEO Private Label – Specialty Benefits
UNITEDHEALTH GROUP
04.2019 - Current
Regional Vice President – Provider Network
UNITEDHEALTH GROUP
02.2017 - 04.2019
Sr. Vice President – Provider Network
UnitedHealthcare Military & Veterans
02.2014 - 02.2017
Chief of Staff
UnitedHealthcare Military & Veterans
05.2012 - 02.2014
Vice President – Network Management – Southeast Region
UNITEDHEALTH GROUP
06.2010 - 05.2012
Vice President – Network Development & Expansion
UNITEDHEALTH GROUP
09.2006 - 06.2010
Vice President – Revenue and Membership
UNITEDHEALTH GROUP
05.2005 - 09.2006
Director – Revenue and Membership
UNITEDHEALTH GROUP
05.2004 - 05.2005
Controller – Small Business Group
UNITEDHEALTH GROUP
07.2002 - 05.2004
Senior Accountant
Ernst & Young, LLP
03.1997
Controller
WAM!NET
03.1997 - 07.2002
Staff Accountant
Ernst & Young, LLP
09.1993 - 03.1997
Certified Public Accountant - undefined
Bachelor of Science - Accounting
University of St. Thomas
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